Healthcare Management Forum最新文献

筛选
英文 中文
Co-development of a national, bilingual, post-licensure accredited educational program for registered nurses in primary care: A knowledge-to-action exemplar. 共同开发全国性、双语、执照后认可的初级保健注册护士教育计划:从知识到行动的典范。
Healthcare Management Forum Pub Date : 2024-09-01 DOI: 10.1177/08404704241259929
Marie-Eve Poitras, Julia Lukewich, Treena Klassen, Mireille Guérin, Dana Ryan, Anne-Sophie Langlois, Suzanne Braithwaite, Anaëlle Morin, Deanne Curnew, Crystal Vaughan, Monica McGraw, Robin Devey-Burry, Marie-Dominique Poirier, Toni Leamon, Sheila Epp, Donna Bulman
{"title":"Co-development of a national, bilingual, post-licensure accredited educational program for registered nurses in primary care: A knowledge-to-action exemplar.","authors":"Marie-Eve Poitras, Julia Lukewich, Treena Klassen, Mireille Guérin, Dana Ryan, Anne-Sophie Langlois, Suzanne Braithwaite, Anaëlle Morin, Deanne Curnew, Crystal Vaughan, Monica McGraw, Robin Devey-Burry, Marie-Dominique Poirier, Toni Leamon, Sheila Epp, Donna Bulman","doi":"10.1177/08404704241259929","DOIUrl":"10.1177/08404704241259929","url":null,"abstract":"<p><p>Registered nurses' practice in primary care varies and is sometimes sub-optimal. To fill the gap in primary care-specific knowledge, we co-constructed a national educational program to reinforce the nursing workforce. We based our project on the knowledge-to-action approach. Many lessons were learned during the development phase: (1) The experiential knowledge of patient partners and stakeholders allows an education program based on real needs; (2) The development of a national education program requires high-intensity investment from all involved persons; (3) An in-person meeting at the beginning of the project enables robust discussions and optimal co-creation; and (4) In a country where two official languages are spoken, it's essential to create a safe environment and a translation infrastructure that allows everyone to express themselves in the language of their choice. Finally, other initiatives in healthcare education or professional practice improvement could leverage our findings to realize national-scale projects using knowledge creation approaches.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":"37 1_suppl","pages":"43S-48S"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11360265/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142082107","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of the admission transfer unit to reduce emergency department boarding: A quality improvement initiative. 实施入院转运单元,减少急诊科住院人数:质量改进措施。
Healthcare Management Forum Pub Date : 2024-07-22 DOI: 10.1177/08404704241267317
Faisal Khan, Andreea Popescu, Nyla Chattergoon, Francesca Fiumara, Navneet Thandi, Hojat Galeh
{"title":"Implementation of the admission transfer unit to reduce emergency department boarding: A quality improvement initiative.","authors":"Faisal Khan, Andreea Popescu, Nyla Chattergoon, Francesca Fiumara, Navneet Thandi, Hojat Galeh","doi":"10.1177/08404704241267317","DOIUrl":"https://doi.org/10.1177/08404704241267317","url":null,"abstract":"<p><p>Emergency Department (ED) boarding crowds the emergency department, strains resources, leads to higher hospital costs, and is associated with increased morbidity/mortality, a negative patient experience, and patient adverse events. The time Ontario patients wait in emergency departments for inpatient beds continues to rise, with the average time admitted patients spend in the ED increasing between 2015 and 2019 from 13.8 hours to 16.2 hours. As reported in this quality improvement initiative, one potential solution is to repurpose short-stay medical assessment units for complex admitted medicine patients using an objective patient selection tool. Objectively selecting admitted ED patients with the highest risk for adverse events and prioritizing them to move to a transitional unit advances safe quality patient care and decreases Time-to-Inpatient Bed (TIB). Results from this quality improvement initiative include reducing the organization's TIB by 13 hours.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"8404704241267317"},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141749255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Identifying leadership practices to support the uptake of reusable elastomeric half mask respirators in health delivery settings. 确定领导实践,支持在医疗机构中采用可重复使用的弹性半面罩呼吸器。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-20 DOI: 10.1177/08404704241226698
Emily J Haas, Alexa Furek, Lee A Greenawald
{"title":"Identifying leadership practices to support the uptake of reusable elastomeric half mask respirators in health delivery settings.","authors":"Emily J Haas, Alexa Furek, Lee A Greenawald","doi":"10.1177/08404704241226698","DOIUrl":"10.1177/08404704241226698","url":null,"abstract":"<p><p>An increase in reusable Elastomeric Half Mask Respirators (EHMRs) among healthcare personnel has been documented during pandemic emergencies; however, research has not detailed leadership practices to support their use. Forty-three organizations implemented EHMRs received from the United States federal government which prompted interviews with 73 individuals who managed respirator distribution and fit testing between October 2021 and November 2022. Interview data was qualitatively analyzed. Themes around organizational culture and leadership practices emerged when discussing how elastomeric half mask respirators were integrated into health delivery settings including communication and outreach methods to aid worker support. Example included on-line and hands-on training, peer support, leadership support, and a culture that supports respirator use. To support a shift to reusable respiratory protection being procured and implemented, organizational- and individual-level perspectives are needed. Employee engagement, respirator champions, and updated verbal and written communication mechanisms are important takeaways for leaders to consider during any routine or emergency scenario.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"230-236"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11273238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139503076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Integrating recovery-oriented mental health and addictions services directed by clients. 整合以康复为导向的心理健康和成瘾服务,由客户--患者指导。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-31 DOI: 10.1177/08404704231223131
Victoria Huehn
{"title":"Integrating recovery-oriented mental health and addictions services directed by clients.","authors":"Victoria Huehn","doi":"10.1177/08404704231223131","DOIUrl":"10.1177/08404704231223131","url":null,"abstract":"<p><p>This article focuses on the planning, process, and outcomes of integrating multiple services into a system that is based on the client's journey. It demonstrates the incorporation of the client voice and shared decision-making throughout the process. This article provides guidance for leaders looking for ways to engage clients in the planning process. The discussion describes the process used by Frontenac Community Mental Health and Addiction Services to implement a client designed and centred, functionally integrated substance use and mental health service using the Mental Health Commission of Canada's recovery-oriented strategy. The reality is that although integrated services are evidence based best practices, in only rare cases has this translated into practice. Key messages are that the client voice and direction can be used successfully in designing an integrated mental health and substance use system.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"226-229"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-oriented research: An essential driver of learning health system capacity development. 以患者为导向的研究:学习型卫生系统能力发展的重要推动力。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-21 DOI: 10.1177/08404704241235601
Heather Strosher, Taylor Hainstock, Sharon Karsten, Barbara Whyte, Christopher Hauschildt, Tara McMillan, Uta Sboto-Frankenstein, Cindy Trytten
{"title":"Patient-oriented research: An essential driver of learning health system capacity development.","authors":"Heather Strosher, Taylor Hainstock, Sharon Karsten, Barbara Whyte, Christopher Hauschildt, Tara McMillan, Uta Sboto-Frankenstein, Cindy Trytten","doi":"10.1177/08404704241235601","DOIUrl":"10.1177/08404704241235601","url":null,"abstract":"<p><p>Canada's health system faces a lag in implementing high-quality evidence and research-driven innovation into service delivery, while demonstrating accountability and benefit to the public. To address these challenges, Patient-Oriented Research (POR) builds teams that engage researchers, healthcare providers, decision-makers, and most importantly, patients (people with lived and living experience) in the process of generating and applying evidence to inform health services and decision-making. A Learning Health System (LHS) systematically integrates external evidence with internal data and experience and puts that knowledge into practice in a continuous cycle. Using a POR/LHS example from a BC health authority, we describe nine enablers required to support LHS capacity development. The LHS case study, <i>Walk With Me</i>, addresses a health system high-priority topic: the toxic drug crisis. Understanding the value of learning health systems, along with the enablers required to support and implement them, will empower health leaders to champion and orchestrate positive change.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"283-289"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140176985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review. 在门诊环境中实施电子病历的益处、促进因素和障碍:范围综述。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-20 DOI: 10.1177/08404704231224070
Hamidreza Kavandi, Zeina Al Awar, Mirou Jaana
{"title":"Benefits, facilitators, and barriers of electronic medical records implementation in outpatient settings: A scoping review.","authors":"Hamidreza Kavandi, Zeina Al Awar, Mirou Jaana","doi":"10.1177/08404704231224070","DOIUrl":"10.1177/08404704231224070","url":null,"abstract":"<p><p>This scoping review examined the breadth and depth of evidence on Electronic Medical Record (EMR) implementation benefits in outpatient settings. Following PRISMA guidelines for scoping reviews, five databases were searched, and 24 studies were retained and reviewed. Benefits, facilitators, and barriers to EMR implementation were extracted. Direct benefits included improved communication/reporting, work efficiency, care process, healthcare outcomes, safety, and patient-centredness of care. Indirect benefits were improved financial performance and increased data accessibility, staff satisfaction, and decision-support usage. Barriers included time and financial constraints; design/technical issues; limited information technology resources, skills, and infrastructure capacity; increased workload and reduced efficiency during implementation; incompatibility of existing systems and local regulations; and resistance from healthcare professionals. Facilitators included training, change management, user-friendliness and alignment with workflow, user experience with EMRs, top management support, and sufficient resources. More rigorous, systematic research is needed, using relevant frameworks to inform healthcare policies and guide EMR projects in outpatient areas.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"215-225"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139513796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Innovative nursing employment initiatives to strengthen and sustain the health workforce in Canada. 创新的护理就业举措,以加强和维持加拿大的医疗队伍。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-02-19 DOI: 10.1177/08404704241232668
Andrea Baumann, Victoria Smith, Mary Crea-Arsenio
{"title":"Innovative nursing employment initiatives to strengthen and sustain the health workforce in Canada.","authors":"Andrea Baumann, Victoria Smith, Mary Crea-Arsenio","doi":"10.1177/08404704241232668","DOIUrl":"10.1177/08404704241232668","url":null,"abstract":"<p><p>Health systems worldwide are at a critical juncture due to an increasing demand for health services and a diminishing pool of health human resources. While COVID-19 exacerbated nursing deficits, the need to strengthen and sustain the health workforce in Canada was evident decades prior and supported by numerous studies that warned of significant shortages. Post pandemic, building health system capacity has become paramount. This article examines innovative nursing employment initiatives in Canada. It provides a snapshot of federal, provincial and territorial approaches, with a particular focus on Internationally Educated Nurses (IENs) due to burgeoning interest in and competition for their skills and services. However, recognizing that health human resource planning is a persistent challenge, further initiatives are suggested. These include complementary policy development to improve retention and policy frameworks that support proactive long-term strategies to address the cyclical shortage of nurses.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"251-257"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Message from the Guest Editor. 特邀编辑的致辞
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-03-30 DOI: 10.1177/08404704241242912
{"title":"A Message from the Guest Editor.","authors":"","doi":"10.1177/08404704241242912","DOIUrl":"10.1177/08404704241242912","url":null,"abstract":"","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"193-195"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relational skill training for patient engagement and the creation of a trauma-informed critical care. 患者参与的关系技能培训和创伤知情重症监护的创建。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2023-11-18 DOI: 10.1177/08404704231215461
Laura Istanboulian, Tasneem Master, Christine Devine, Lorrie Hamilton
{"title":"Relational skill training for patient engagement and the creation of a trauma-informed critical care.","authors":"Laura Istanboulian, Tasneem Master, Christine Devine, Lorrie Hamilton","doi":"10.1177/08404704231215461","DOIUrl":"10.1177/08404704231215461","url":null,"abstract":"<p><p>Patients and families in critical care have a high likelihood of previous and re-experienced trauma. Unaddressed, physical, and psychological impacts of these traumas can worsen outcomes for patients and families. A trauma-informed care approach has been proposed for critical care; however, training programs do not include relational competencies or de-escalation techniques, risking the re-traumatization of patients and families in critical care and negatively impacting clinicians. This article describes a strategy that can be adopted by critical care teams towards the creation of a trauma-informed critical care unit including the use of a framework for relational training. Principles of relationship management and de-escalation are discussed with the use of a fictional exemplar scenario. Key messages include a call to action for relational training for care teams to enhance skilled relational engagement of patients and families. This article also highlights the foundational importance of policies supporting a trauma-informed approach in critical care.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"210-214"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136399688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Recommendations for supporting healthcare workers' psychological well-being: Lessons learned during the COVID-19 pandemic. 支持医护人员心理健康的建议:在 COVID-19 大流行期间吸取的经验教训。
Healthcare Management Forum Pub Date : 2024-07-01 Epub Date: 2024-01-30 DOI: 10.1177/08404704241226693
Melissa B Korman, Lisa Di Prospero, Tracey DasGupta, Mark Sinyor, Samantha J Anthony, Monika Kastner, Janet Ellis, Rosalie Steinberg, Robert Maunder
{"title":"Recommendations for supporting healthcare workers' psychological well-being: Lessons learned during the COVID-19 pandemic.","authors":"Melissa B Korman, Lisa Di Prospero, Tracey DasGupta, Mark Sinyor, Samantha J Anthony, Monika Kastner, Janet Ellis, Rosalie Steinberg, Robert Maunder","doi":"10.1177/08404704241226693","DOIUrl":"10.1177/08404704241226693","url":null,"abstract":"<p><p>Healthcare workers are at risk of adverse mental health outcomes due to occupational stress. Many organizations introduced initiatives to proactively support staff's psychological well-being in the face of the COVID-19 pandemic. One example is the STEADY wellness program, which was implemented in a large trauma centre in Toronto, Canada. Program implementors engaged teams in peer support sessions, psychoeducation workshops, critical incident stress debriefing, and community-building initiatives. As part of a project designed to illuminate the experiences of STEADY program implementors, this article describes recommendations for future hospital wellness programs. Participants described the importance of having the hospital and its leaders engage in supporting staff's psychological well-being. They recommended ways of doing so (e.g., incorporating conversations about wellness in staff onboarding and routine meetings), along with ways to increase program uptake and sustainability (e.g., using technology to increase accessibility). Results may be useful in future efforts to bolster hospital wellness programming.</p>","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"258-262"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11264526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139576768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信